BOE-263-B

Source: https://www.boe.ca.gov/proptaxes/pdf/sample-boe263b.pdf

This page watermarked sample only. BOE-263-B (P1) REV. 05 (05-25) Contact Assessor for actual form. LESSEES’ EXEMPTION CLAIM Declaration of property information as of 12:01 a.m., January 1, 20__. PROPERTY USED EXCLUSIVELY FOR PUBLIC SCHOOLS, COMMUNITY COLLEGES, STATE COLLEGES, STATE UNIVERSITIES, OR UNIVERSITY OF CALIFORNIA [Revenue and Taxation Code section 202(a)(3)]

NAME AND MAILING ADDRESS (Make necessary corrections to the printed name and mailing address)

To receive the full exemption, this claim must

be filed by 5:00 p.m., February 15.

If you no longer seek an exemption at this location, check here Sign and return this form to the Assessor. Date vacated: IDENTIFICATION OF APPLICANT LESSEE’S CORPORATE OR ORGANIZATION NAMEMAILING ADDRESS Form

CITY, STATE, ZIP CODE

CORPORATE ID (IF ANY) ONLY

IDENTIFICATION OF PROPERTY ADDRESS OF PROPERTY (NUMBER AND STREET) Actual

CITY, COUNTY, ZIP CODE ASSESSOR’S PARCEL NUMBER forUSE OF PROPERTY Check and state the primary and incidental qualifying uses of the property. The exemption claim is made for the following property: (if there are numerous properties, please attach a list that clearly identifies the property and the name and address of the lessee) PROPERTY TYPE PRIMARY USE INCIDENTAL USE Land

Buildings and Improvements SAMPLE
Personal Property

Yes No Does the lease/agreement confer upon the lessee the exclusive right to possession and use of the property? Assessor

Yes No Is the claimant a lessee or operator of real or personal property owned by a public school, community college, state college, state university, or University of California that is used exclusively for community college, state college, state university, or University of California purposes?

Yes No Does the claimant own personal property used at this property for public school purposes?Note: If requestedContactby the assessor, the claimant shall provide a copy of the lease or agreement.

CERTIFICATION

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing, and all information herein, including any accompanying statements or materials, is true, correct, and complete to the best of my knowledge and belief.

SIGNATURE OF PERSON MAKING CLAIM DATE t NAME OF PERSON MAKING CLAIM TITLE

E-MAIL ADDRESS DAYTIME TELEPHONE ( ) THIS DOCUMENT IS SUBJECT TO PUBLIC INSPECTION